1 00:00:03,274 --> 00:00:05,484 Until the 17th century, 2 00:00:05,509 --> 00:00:07,914 scientists thought blood was a one-way street. 3 00:00:07,939 --> 00:00:11,503 Corban's labs are in. His white count's 22. 4 00:00:11,528 --> 00:00:13,599 And his acidosis is getting worse. 5 00:00:13,624 --> 00:00:14,851 He's septic. 6 00:00:15,391 --> 00:00:17,445 All he wanted was to meet his nephew. 7 00:00:18,121 --> 00:00:20,161 Should we consider comfort care measures? 8 00:00:21,228 --> 00:00:24,414 No. Page Ndugu, and tell the OR desk 9 00:00:24,439 --> 00:00:27,899 that I want the same team from Nora Young's ventral aorta surgery. 10 00:00:27,924 --> 00:00:29,866 You're doing the ventral aortic reconstruction? 11 00:00:29,891 --> 00:00:33,378 Between his sepsis and the bleeding, it's our only option, 12 00:00:33,516 --> 00:00:36,726 assuming that I can get the consent from his sister. 13 00:00:37,209 --> 00:00:38,696 You want me to talk to her? 14 00:00:38,721 --> 00:00:41,396 I was the one who convinced him to do the TEVAR. It should be me. 15 00:00:41,533 --> 00:00:43,811 They believed blood was produced by the liver 16 00:00:43,836 --> 00:00:46,598 and consumed like food by the body's tissues. 17 00:00:47,087 --> 00:00:50,809 Until British physician William Harvey published a treatise 18 00:00:50,834 --> 00:00:53,683 so explosive, it was banned in England. 19 00:00:53,708 --> 00:00:56,987 I spent a lot of time imagining this in med school 20 00:00:57,126 --> 00:00:59,645 instead of studying microbiology. 21 00:00:59,670 --> 00:01:01,356 Mmm. Does the real thing measure up? 22 00:01:01,381 --> 00:01:03,210 I wouldn't want to inflate your ego. 23 00:01:04,260 --> 00:01:05,572 Well... 24 00:01:06,100 --> 00:01:09,621 I'm a neurosurgeon, so that ship has sailed. 25 00:01:12,923 --> 00:01:13,958 Hey. 26 00:01:14,527 --> 00:01:17,461 This is gonna sound crazy, but, um... 27 00:01:19,470 --> 00:01:22,289 Do you wanna, like, go on a proper date? 28 00:01:23,428 --> 00:01:25,050 Get dinner tomorrow night? 29 00:01:25,075 --> 00:01:28,113 Yeah, I'd love to, but I have my s... 30 00:01:28,138 --> 00:01:29,656 Um... 31 00:01:29,849 --> 00:01:33,585 My sunrise hiking club, uh, in the morning. 32 00:01:33,610 --> 00:01:34,907 You hike? 33 00:01:34,932 --> 00:01:38,270 I just started, you know, there's nothing like fresh air in the morning. 34 00:01:38,803 --> 00:01:40,322 Right. Um... 35 00:01:42,314 --> 00:01:45,804 I should go. I should probably change before rounds. 36 00:01:45,829 --> 00:01:49,178 He posited that blood was part of a circulatory system 37 00:01:49,203 --> 00:01:52,274 continuously pumped through the body and recycled by the heart. 38 00:01:55,977 --> 00:01:59,818 In other words, when it comes to blood, what goes around comes around. 39 00:01:59,843 --> 00:02:03,028 Ooh. No. Okay. Why... Why do you have to leave so early? 40 00:02:03,053 --> 00:02:05,479 I have to prep for a sternal reconstruction. 41 00:02:05,504 --> 00:02:07,824 Dr. Wright wants to work with me more before she'll write me 42 00:02:07,851 --> 00:02:10,933 a letter of recommendation for that attending position in Boston. 43 00:02:10,958 --> 00:02:12,417 You're still on this Boston thing? 44 00:02:12,442 --> 00:02:14,513 - What do they have that we don't? - My parents. 45 00:02:14,538 --> 00:02:16,126 - Nieces and nephews. - Mm-hmm. 46 00:02:16,259 --> 00:02:19,183 - Cream pie. - Oh, I forgot about the pie. 47 00:02:19,208 --> 00:02:21,141 Mmm. 48 00:02:23,695 --> 00:02:26,986 - Uh, did you forget how to knock? - The door was open. 49 00:02:27,011 --> 00:02:30,014 Millin, you're on my service today. Thought you'd be at work by now. 50 00:02:30,046 --> 00:02:32,606 - I'll be in time for rounds. - I expect you to bring your A game. 51 00:02:32,776 --> 00:02:35,332 - It's an important case. - I always do. 52 00:02:36,156 --> 00:02:38,572 - I'll see you both later. - Yeah. 53 00:02:40,237 --> 00:02:42,345 - Simone! - Would it kill you to be nice? 54 00:02:42,369 --> 00:02:44,416 She is trying to tell me what to do before I've had coffee. 55 00:02:44,440 --> 00:02:45,739 Where is Simone? We're supposed to be 56 00:02:45,763 --> 00:02:47,393 going over fertility stuff on the way in. 57 00:02:47,418 --> 00:02:49,696 - Fertility stuff? - Yeah, we're freezing our eggs. 58 00:02:49,721 --> 00:02:53,113 Well, I mean, I am. I can't speak for her. 59 00:02:53,138 --> 00:02:54,618 Pretty sure you just did. 60 00:02:54,643 --> 00:02:57,094 Look, Simone never made it back last night. Critical patient. 61 00:02:57,315 --> 00:03:00,406 - Oh, then can I get a ride? - Oh, me too. Please? 62 00:03:00,431 --> 00:03:02,502 Do I look like a soccer mom to you? 63 00:03:12,616 --> 00:03:14,929 - She is texting me. - I didn't say anything. 64 00:03:15,091 --> 00:03:16,334 Look. 65 00:03:16,893 --> 00:03:18,932 I muted her. Focusing on my other patients, 66 00:03:18,957 --> 00:03:20,959 like you told me to. 67 00:03:20,984 --> 00:03:23,178 You must have really handed it to him. 68 00:03:23,203 --> 00:03:25,180 I gave him constructive feedback. 69 00:03:25,205 --> 00:03:26,337 At least he knows where he stands. 70 00:03:26,361 --> 00:03:27,666 It's the same with me and Dr. Wright. 71 00:03:27,690 --> 00:03:29,657 I know what I need to improve on. 72 00:03:29,795 --> 00:03:33,567 See, he thinks that I don't care, but I've been searching high and low 73 00:03:33,592 --> 00:03:35,870 for more infusion treatments for Katie. 74 00:03:35,895 --> 00:03:37,138 Any luck? 75 00:03:37,163 --> 00:03:40,377 Just a bunch of unanswered emails and dead ends. 76 00:03:41,186 --> 00:03:45,121 Sugihara wants to put her on her prior immunotherapy regimen. 77 00:03:45,146 --> 00:03:47,629 - That was... Yeah. - Well, I'm sorry. 78 00:03:48,228 --> 00:03:50,126 Hey, what's on your schedule today? 79 00:03:50,545 --> 00:03:53,848 Um, consults, meetings, residency admin. 80 00:03:54,833 --> 00:03:55,856 - Push 'em. - Hmm? 81 00:03:55,881 --> 00:03:57,653 Dr. Goldberg is out sick today and he 82 00:03:57,678 --> 00:03:59,886 needs somebody to take his procedures. 83 00:04:00,314 --> 00:04:01,832 Oh, come on. 84 00:04:03,318 --> 00:04:04,558 Save some lives with me. 85 00:04:06,453 --> 00:04:08,800 Let's save some lives. 86 00:04:08,938 --> 00:04:11,181 Luna and Hattie are still napping. 87 00:04:11,320 --> 00:04:14,012 Uh, the baby monitor's on the coffee table. 88 00:04:14,150 --> 00:04:15,807 All right, you already mentioned that. 89 00:04:15,832 --> 00:04:19,717 Um, extra diapers are upstairs in the linen closet, 90 00:04:19,742 --> 00:04:23,332 and the... the... the pediatrician's number is on the fridge. 91 00:04:23,357 --> 00:04:25,322 - We're not going to Siberia. - I know that. 92 00:04:25,347 --> 00:04:28,005 And we need to find a dresser big enough for the twins today. 93 00:04:28,233 --> 00:04:30,615 I've been fasting in anticipation for the Swedish meatballs, 94 00:04:30,640 --> 00:04:32,247 so I would love to get there 95 00:04:32,272 --> 00:04:34,515 before I go into a hypoglycemic coma. 96 00:04:34,540 --> 00:04:37,813 If you have any issues at all, please don't hesitate to call. 97 00:04:37,838 --> 00:04:39,288 Will do. 98 00:04:39,313 --> 00:04:40,625 Okay. 99 00:04:44,111 --> 00:04:46,020 I think you're supposed to hand over the baby now. 100 00:04:46,044 --> 00:04:50,151 Oh, yeah. Okay. Okay, okay. 101 00:04:50,818 --> 00:04:53,165 Don't wake your sisters up. 102 00:04:55,017 --> 00:04:56,847 Is it weird that we're... 103 00:04:56,872 --> 00:04:59,075 handing our babies over to someone else 104 00:04:59,100 --> 00:05:01,024 for the first time and all I feel is... 105 00:05:01,049 --> 00:05:03,291 - Unbridled joy? - Mm-hmm. 106 00:05:06,547 --> 00:05:09,343 No. There might be a leak at my rental property. 107 00:05:10,158 --> 00:05:12,046 Where I lived before I moved in here with you. 108 00:05:12,070 --> 00:05:15,525 Oh! Wow, I always forget that you own that dump. 109 00:05:15,550 --> 00:05:18,352 I installed a water sensor when the last tenants moved out, 110 00:05:18,377 --> 00:05:22,435 - and I should probably check on this. - Well, just call a plumber. 111 00:05:22,460 --> 00:05:24,369 Oh, no, they'll charge an arm and a leg just for showing up. 112 00:05:24,393 --> 00:05:26,408 - It won't take long to fix. - Okay, I'll come. 113 00:05:28,519 --> 00:05:30,650 Are you sure you really wanna hang out at that dump? 114 00:05:30,675 --> 00:05:32,677 Yeah, I'll just, um, sit in the car. 115 00:05:32,702 --> 00:05:34,585 First day of freedom. 116 00:05:36,922 --> 00:05:39,211 Hey, so I haven't gotten to officially welcome you back yet. 117 00:05:39,235 --> 00:05:40,275 You go somewhere tropical? 118 00:05:40,300 --> 00:05:42,627 No, do Chicago or Boston count? 119 00:05:42,652 --> 00:05:44,758 Now, sabbatical looks good on you. 120 00:05:45,862 --> 00:05:46,902 What have we got? 121 00:05:46,927 --> 00:05:50,073 42-year-old male, head trauma after colliding with a glass door. 122 00:05:50,098 --> 00:05:52,324 GCS 15. No LOC. 123 00:05:52,349 --> 00:05:54,785 Presented with epistaxis and a small forehead lac. 124 00:05:54,810 --> 00:05:56,469 BP is 130 over 80. 125 00:05:56,494 --> 00:05:57,850 Nasal bandage was applied at the scene. 126 00:05:57,875 --> 00:05:59,403 Okay, sir, welcome to Grey Sloan. 127 00:05:59,428 --> 00:06:00,784 I'm Dr. Hunt. This is Dr. Shepherd. 128 00:06:00,808 --> 00:06:02,130 Yeah, yeah, do you have a safe? 129 00:06:02,154 --> 00:06:03,793 - What are you doing? - Sorry, I'm, uh... I'm done. 130 00:06:03,818 --> 00:06:07,194 Only my little brother could get hospitalized running into a door. 131 00:06:07,219 --> 00:06:08,684 It happens more than you think. 132 00:06:08,709 --> 00:06:11,766 We were brunching with my work buds. Finally got this VP promotion. 133 00:06:11,973 --> 00:06:13,368 Hey, I... I don't know what happened. 134 00:06:13,393 --> 00:06:15,022 I must have blacked out when I won the... 135 00:06:15,047 --> 00:06:16,290 Won what? 136 00:06:16,315 --> 00:06:18,721 Won biggest loser? 137 00:06:18,746 --> 00:06:20,872 We've got a possible head trauma here. 138 00:06:20,897 --> 00:06:22,278 What's that? 139 00:06:23,873 --> 00:06:27,187 It's a lottery ticket. It says he won two million dollars. 140 00:06:27,867 --> 00:06:30,835 What? You won two million dollars? 141 00:06:31,797 --> 00:06:34,863 - Oh. He's out! - Trauma 3 is free. Let's move! 142 00:06:35,549 --> 00:06:38,610 - Hey, hey, hands off. - Okay. 143 00:06:38,881 --> 00:06:40,161 Hey. 144 00:06:40,192 --> 00:06:41,929 Griffith said you're doing the ventral aorta. 145 00:06:41,953 --> 00:06:44,127 I said she must've misheard. 146 00:06:44,152 --> 00:06:46,139 Yeah, first, I need to come up with a plan 147 00:06:46,164 --> 00:06:49,029 to present to Leticia, who is understandably skeptical. 148 00:06:49,054 --> 00:06:50,504 Wait, you said the TEVAR went well. 149 00:06:50,591 --> 00:06:51,626 Well, it did. 150 00:06:51,701 --> 00:06:53,289 And then he coded. 151 00:06:53,615 --> 00:06:56,066 His pseudoaneurysm degenerated. 152 00:06:56,761 --> 00:06:58,141 How badly? 153 00:06:58,279 --> 00:07:00,765 The aorta is unsalvageable. 154 00:07:05,494 --> 00:07:07,357 Break glass in case of emergency. 155 00:07:07,382 --> 00:07:09,507 The TEVAR could've worked. I had to try. 156 00:07:09,532 --> 00:07:12,155 We should have done this yesterday when he was more stable. 157 00:07:12,293 --> 00:07:14,054 We don't have time for hindsight. 158 00:07:14,079 --> 00:07:17,135 That's on you. You were so afraid to try this surgery again 159 00:07:17,160 --> 00:07:18,360 that you wasted his best shot. 160 00:07:18,385 --> 00:07:20,518 Nora was just as bad, if not worse. 161 00:07:20,543 --> 00:07:22,442 That was a miracle. You said it yourself, 162 00:07:22,467 --> 00:07:23,910 "If this doesn't work on Corban, that's it. 163 00:07:23,935 --> 00:07:25,378 We'll never try this surgery again." 164 00:07:25,403 --> 00:07:27,059 Now you've made that almost certain here. 165 00:07:27,084 --> 00:07:29,872 What, do you want me to apologize and say that I was wrong? 166 00:07:29,897 --> 00:07:33,183 I made the right call with the information that I had at the time, 167 00:07:33,208 --> 00:07:34,557 and it was a bad outcome. 168 00:07:34,582 --> 00:07:36,486 And now Corban is dying. 169 00:07:36,511 --> 00:07:38,674 So either you can help me come up with a 170 00:07:38,699 --> 00:07:41,159 plan to save him or stop wasting my time. 171 00:07:49,237 --> 00:07:54,237 - Synced and corrected by ChrisKe - — for www.addic7ed.com — 172 00:08:00,652 --> 00:08:03,268 Dr. Millin. Mr. Hill didn't wanna start without you. 173 00:08:03,293 --> 00:08:04,390 Oh. 174 00:08:04,414 --> 00:08:06,454 I was starting to think you abandoned me. 175 00:08:06,486 --> 00:08:08,108 No, I was just finishing a chest tube. 176 00:08:08,133 --> 00:08:10,775 I would never abandon my favorite patient or his better half. 177 00:08:10,800 --> 00:08:13,468 Oh, I bet you say that to all the old fogies. 178 00:08:14,332 --> 00:08:16,135 I didn't realize you all knew each other. 179 00:08:16,160 --> 00:08:19,232 I scrubbed in on Scott's CABG with Dr. Beckman a couple months ago. 180 00:08:19,257 --> 00:08:21,604 Then, by all means, take it away. 181 00:08:21,742 --> 00:08:25,884 Scott Hill, 73, status post-CABG complicated by osteomyelitis. 182 00:08:25,909 --> 00:08:29,345 Now status post multiple debridements to the sternum and costal cartilage, 183 00:08:29,370 --> 00:08:31,752 resulting in a 12-by-10-centimeter wound. 184 00:08:31,890 --> 00:08:33,685 Today we are starting his reconstruction. 185 00:08:33,710 --> 00:08:36,986 I thought the CABG would help me be more active in retirement. 186 00:08:37,551 --> 00:08:40,865 We're in our "world-traveler era," as the kids say. 187 00:08:40,897 --> 00:08:42,244 Love that for you guys. 188 00:08:42,269 --> 00:08:45,302 We did have to cancel our safari in Tanzania. 189 00:08:45,327 --> 00:08:48,917 Fortunately, the tour company let us reschedule. 190 00:08:48,942 --> 00:08:51,402 She did what you told her to do, Dr. Millin. 191 00:08:51,427 --> 00:08:52,922 What? You sweet-talked them and then cried? 192 00:08:52,946 --> 00:08:55,569 Mm-hmm. The tears did them in. 193 00:08:55,594 --> 00:08:59,824 Well, that, or describing this gaping hole in my chest. 194 00:08:59,849 --> 00:09:02,209 We're gonna try and close that up today, okay? 195 00:09:02,234 --> 00:09:06,494 Millin, Mohanty, take him for a repeat CT to confirm our surgical plan. 196 00:09:06,519 --> 00:09:08,018 You got the full refund, right? 197 00:09:08,043 --> 00:09:09,289 Yes, the full refund. 198 00:09:09,314 --> 00:09:11,491 I told you it works every time, every time. 199 00:09:11,516 --> 00:09:13,932 I was crying and crying. 200 00:09:13,957 --> 00:09:16,394 Can't believe he won two mil. It's almost 201 00:09:16,419 --> 00:09:18,627 as much as I loaned the poor bastard. 202 00:09:18,652 --> 00:09:19,775 You should wait outside. 203 00:09:19,800 --> 00:09:21,621 Okay, let's get ready for rapid sequence intubation. 204 00:09:21,646 --> 00:09:24,331 I love his broke ass, but he's a sad, bottomless money pit, 205 00:09:24,356 --> 00:09:25,944 you know what I'm saying? 206 00:09:25,969 --> 00:09:28,449 Whoa, whoa, hold the paralytic. He's waking up. Shepherd. 207 00:09:28,637 --> 00:09:31,294 Hey, look right here. 208 00:09:31,319 --> 00:09:33,943 Okay, do you know your name and where you are? 209 00:09:33,968 --> 00:09:36,572 Jeremy. I'm... I'm in the hospital. 210 00:09:36,597 --> 00:09:38,322 Hey, I'm right here with you, bro. 211 00:09:38,674 --> 00:09:41,063 - Anything of note happen today, Jeremy? - Uh... 212 00:09:41,201 --> 00:09:42,927 Yeah, my boy got paid, y'all. 213 00:09:43,065 --> 00:09:45,550 Okay, let's do a FAST exam and get that bleeding under control. 214 00:09:45,575 --> 00:09:47,819 I wanna get a head CT right away. 215 00:09:48,291 --> 00:09:50,566 - No, I can hold on to that. - No, I think he's got it. 216 00:09:50,590 --> 00:09:52,661 His sweat might melt off the numbers, bro. 217 00:09:52,799 --> 00:09:54,214 Okay, I'm not seeing any free fluid. 218 00:09:54,239 --> 00:09:55,721 Yeah, we need to get him upstairs. 219 00:09:55,746 --> 00:09:57,918 We'll update you when we can. Can you please leave the room, sir? 220 00:09:57,942 --> 00:09:59,150 Please. Thank you so much. 221 00:09:59,175 --> 00:10:00,348 Goodbye. Thank you. 222 00:10:01,468 --> 00:10:03,885 Thank you, Bryant. Let's get him up to CT. 223 00:10:05,346 --> 00:10:08,033 I gave your sex friend a ride to work this morning. 224 00:10:08,221 --> 00:10:09,671 You're welcome. 225 00:10:09,770 --> 00:10:11,438 - I hope you were normal. - Griffith, you have that? 226 00:10:11,463 --> 00:10:13,706 I was. Yeah, we got it. 227 00:10:14,105 --> 00:10:16,349 Wish I could say the same for Millin. 228 00:10:16,374 --> 00:10:19,244 - Oh, crap, I was supposed to meet her. - But you didn't. 229 00:10:19,269 --> 00:10:22,563 And now Bryant may or may not think that you're trying to have a baby. 230 00:10:22,587 --> 00:10:24,994 - What? - I'm just a messenger. 231 00:10:25,935 --> 00:10:27,661 We will dissect away 232 00:10:27,686 --> 00:10:30,896 the part of Corban's reconstructed esophagus that's behind the sternum, 233 00:10:30,921 --> 00:10:32,801 and that should give us the access that we need. 234 00:10:33,149 --> 00:10:35,669 - It should? - It's hard for us to know, 235 00:10:35,694 --> 00:10:37,869 given Corban's scar tissue. 236 00:10:38,612 --> 00:10:40,407 He wanted the surgery yesterday. 237 00:10:40,432 --> 00:10:41,774 You talked him out of it. 238 00:10:41,799 --> 00:10:44,126 It was an unnecessary risk then. 239 00:10:44,151 --> 00:10:45,186 And now? 240 00:10:45,781 --> 00:10:48,128 His aorta is too damaged. 241 00:10:48,485 --> 00:10:50,004 It has to come out. 242 00:10:55,998 --> 00:10:57,240 What do you think? 243 00:11:01,055 --> 00:11:02,263 I know it's scary. 244 00:11:03,599 --> 00:11:07,193 But... this surgery is Corban's only chance of survival. 245 00:11:07,218 --> 00:11:10,073 And Dr. Altman and Dr. Ndugu are the 246 00:11:10,097 --> 00:11:13,475 only surgeons who can and have done it. 247 00:11:13,500 --> 00:11:15,571 Yeah, after they drew it on a napkin. 248 00:11:16,123 --> 00:11:18,470 If it helps, I assisted on the first one. 249 00:11:18,740 --> 00:11:20,812 I've seen it save someone's life. 250 00:11:23,234 --> 00:11:26,755 If I say yes and he dies, I... 251 00:11:26,780 --> 00:11:29,576 He will die for sure if you say no. 252 00:11:35,271 --> 00:11:37,411 Yeah. 253 00:11:38,032 --> 00:11:39,274 Do it. 254 00:11:43,322 --> 00:11:45,186 Please don't make me regret it. 255 00:11:48,303 --> 00:11:51,438 Did you check Scott for scars at possible donor sites? 256 00:11:51,463 --> 00:11:53,907 Lots of moles, but no sign of scarring 257 00:11:53,932 --> 00:11:56,612 on the arms, back, abdomen or legs. 258 00:11:56,637 --> 00:11:58,190 Did you measure the depth of his wound? 259 00:11:59,132 --> 00:12:02,151 Same as when I staffed it with you, 4 centimeters. 260 00:12:02,914 --> 00:12:04,154 How's it looking, team? 261 00:12:05,138 --> 00:12:07,242 The internal mammary arteries must have 262 00:12:07,266 --> 00:12:09,427 been sacrificed in the debridements. 263 00:12:09,452 --> 00:12:12,741 There's no local blood supply to plug a flap into, 264 00:12:12,766 --> 00:12:15,588 but we could connect it with the axilla or lateral chest. 265 00:12:15,613 --> 00:12:18,486 What about tunneling omentum from the abdomen? 266 00:12:19,401 --> 00:12:22,026 It's interesting. Mohanty, thoughts? 267 00:12:23,211 --> 00:12:24,868 It's a nice idea in theory, 268 00:12:24,893 --> 00:12:28,619 but a free flap offers thicker soft-tissue coverage over the heart, 269 00:12:28,644 --> 00:12:30,552 and it looks so much better. 270 00:12:30,577 --> 00:12:33,357 Well, Scott doesn't care how it looks. He just wants to go on safari. 271 00:12:33,382 --> 00:12:35,695 He'll care when he sees it, trust me. 272 00:12:35,720 --> 00:12:38,629 Maybe, but that's if he survives a ten-hour surgery. 273 00:12:38,654 --> 00:12:40,873 I mean, omentum must be less. 274 00:12:40,898 --> 00:12:42,865 And it comes with a built-in blood supply. 275 00:12:42,890 --> 00:12:46,627 This is lifelong coverage. It's what I would want on my chest. 276 00:12:46,652 --> 00:12:47,478 Sometimes... 277 00:12:47,503 --> 00:12:49,853 the correct approach just takes longer. 278 00:12:49,878 --> 00:12:50,952 Yeah. 279 00:12:51,090 --> 00:12:54,610 Okay, if Scott were a 20-year-old bodybuilder, we'd do the free flap, 280 00:12:54,635 --> 00:12:56,154 but omentum is the right call. 281 00:12:56,179 --> 00:12:57,709 - Way to jump in, Millin. - Thanks. 282 00:12:57,734 --> 00:13:00,909 - I'll page general surgery. - That's the spirit. 283 00:13:03,403 --> 00:13:04,507 What's your problem? 284 00:13:04,532 --> 00:13:06,221 I don't have one now that we're doing omentum. 285 00:13:06,246 --> 00:13:07,654 You're a second year. I'm a fellow. 286 00:13:07,679 --> 00:13:09,087 We're not even running the same race. 287 00:13:12,674 --> 00:13:16,194 Hey, Nardi just fed Hattie, and now Peyton's down. 288 00:13:16,219 --> 00:13:18,945 I gotta pee. Ooh. How's it going? 289 00:13:18,970 --> 00:13:20,809 The pipe is completely corroded. 290 00:13:20,834 --> 00:13:22,501 Why don't you take the car and you go without me? 291 00:13:22,525 --> 00:13:26,988 God, your place is an explosion of linoleum and wood paneling. 292 00:13:27,013 --> 00:13:28,266 Yeah, well, you've been here before. 293 00:13:28,290 --> 00:13:30,267 Who thought popcorn ceilings were a good idea? 294 00:13:30,292 --> 00:13:32,151 - Hmm. - No wonder your tenants fled. 295 00:13:32,176 --> 00:13:33,694 Wow. 296 00:13:34,192 --> 00:13:36,470 - Isn't it crazy they left this? - Oh. 297 00:13:36,890 --> 00:13:38,286 What's with all the packages? 298 00:13:38,311 --> 00:13:41,003 Oh, I, uh, ordered a few things that got delivered here by mistake. 299 00:13:41,027 --> 00:13:42,131 Uh-huh. 300 00:13:47,643 --> 00:13:48,747 Um... 301 00:13:49,592 --> 00:13:52,699 Have you been spending time here? 302 00:13:54,017 --> 00:13:55,847 Only when I have to check on something. 303 00:13:56,892 --> 00:13:58,032 Okay. 304 00:13:58,623 --> 00:14:00,107 When was the last time? 305 00:14:00,487 --> 00:14:02,143 Ah... 306 00:14:02,783 --> 00:14:03,783 Tuesday? 307 00:14:03,808 --> 00:14:05,672 When you went to get diapers 308 00:14:05,697 --> 00:14:08,753 and you left me with screaming twins for two hours? 309 00:14:08,778 --> 00:14:11,826 I did stop here briefly. 310 00:14:11,851 --> 00:14:14,543 I had to check on the mailbox, and then 311 00:14:14,680 --> 00:14:17,728 I just needed a little time to decompress. 312 00:14:17,847 --> 00:14:19,021 Oh, yeah? 313 00:14:20,066 --> 00:14:21,861 You really need to stop talking right now. 314 00:14:22,740 --> 00:14:24,155 - Jo. - You know what? 315 00:14:24,356 --> 00:14:26,669 You wanna decompress? You want a little space? 316 00:14:27,176 --> 00:14:29,824 - Be my guest. - Jo. 317 00:14:35,079 --> 00:14:37,253 Well, you made that chole look easy. 318 00:14:37,877 --> 00:14:39,889 I can't believe how quickly you got the critical views. 319 00:14:39,914 --> 00:14:41,571 Yeah. 320 00:14:43,606 --> 00:14:45,194 You still thinking about Katie? 321 00:14:46,264 --> 00:14:48,379 I just feel like I failed her. 322 00:14:48,517 --> 00:14:51,442 Mm-mmm, mm-mmm. The federal government failed her. 323 00:14:51,467 --> 00:14:54,332 Saving her life doesn't align with their priorities. 324 00:14:54,696 --> 00:14:56,422 But I'm her doctor... 325 00:14:56,447 --> 00:14:58,587 and I'm supposed to figure it out. 326 00:14:58,612 --> 00:15:01,270 "Consult request for a sternal reconstruction... 327 00:15:02,136 --> 00:15:03,482 for Dr. Wright." 328 00:15:04,417 --> 00:15:05,988 Wright? Uh... 329 00:15:08,148 --> 00:15:09,558 You know, if you're not feeling up to 330 00:15:09,582 --> 00:15:11,228 it, I'm sure they can find somebody else. 331 00:15:12,794 --> 00:15:16,545 You know, I can't help Katie, but I can help you get in with Wright. 332 00:15:16,570 --> 00:15:20,609 Let's show Plastics what you're made of. 333 00:15:22,561 --> 00:15:24,184 Put your hands down for me. Thank you. 334 00:15:24,416 --> 00:15:26,280 Would you go out with someone who has kids? 335 00:15:27,280 --> 00:15:29,740 - Are you trying to set me up? - Just answer the question. 336 00:15:29,765 --> 00:15:31,250 - No, thanks. - Hmm. 337 00:15:31,275 --> 00:15:32,724 - Hey. - You have kids. 338 00:15:32,749 --> 00:15:34,649 - Mm-hmm. - When do you tell people that 339 00:15:34,673 --> 00:15:35,784 you're seeing about them? 340 00:15:35,809 --> 00:15:38,498 Uh, only person I've dated so far already knew about them. 341 00:15:38,523 --> 00:15:40,318 You two are useless. 342 00:15:40,343 --> 00:15:41,389 I told him security could hold on to 343 00:15:41,414 --> 00:15:43,486 - his ticket, but he won't let go of it. - Would you? 344 00:15:44,460 --> 00:15:45,954 All right, Jeremy, hold still. 345 00:15:45,979 --> 00:15:50,570 Okay. Hey, while it's just us, I'm sorry about my brother. 346 00:15:52,159 --> 00:15:54,583 - No need. He's fine. - He's a jerk. 347 00:15:54,608 --> 00:15:56,828 I'd tell him off for you, but he's been keeping me afloat 348 00:15:56,852 --> 00:15:59,372 since I lost my job, and I don't want him to cut me off. 349 00:15:59,397 --> 00:16:00,836 Didn't you just win the lottery? 350 00:16:01,650 --> 00:16:03,617 Yeah, I guess I did. 351 00:16:03,642 --> 00:16:07,320 He has a small contusion on the left temporal lobe. 352 00:16:07,345 --> 00:16:08,825 - Bryant. - Monitor him for any change 353 00:16:08,864 --> 00:16:11,121 in clinical status and give prophylactic Keppra. 354 00:16:11,146 --> 00:16:13,010 I'll let you take it from here. Okay. 355 00:16:16,822 --> 00:16:19,652 It's time. You can go to the waiting room. 356 00:16:22,370 --> 00:16:23,612 Can he hear me? 357 00:16:23,788 --> 00:16:26,619 - He's heavily sedated. - But it can't hurt to try. 358 00:16:37,602 --> 00:16:38,880 Hi. 359 00:16:42,068 --> 00:16:44,484 I hope my son is just like you. 360 00:16:46,541 --> 00:16:48,646 We've decided to name him Corban. 361 00:16:49,202 --> 00:16:52,020 And if you don't want us to, make it 362 00:16:52,185 --> 00:16:55,003 through surgery and tell me yourself. 363 00:16:58,941 --> 00:17:00,149 Love you. 364 00:17:04,035 --> 00:17:07,245 - The second that you know anything... - I will come and tell you. 365 00:17:07,888 --> 00:17:09,614 Okay. 366 00:17:16,194 --> 00:17:18,268 Can you come out so I can explain? 367 00:17:21,826 --> 00:17:23,517 How long has this been going on? 368 00:17:23,764 --> 00:17:26,146 I don't know. A few months. 369 00:17:26,441 --> 00:17:28,063 What about your tenants? 370 00:17:29,452 --> 00:17:31,454 I told you they moved out. 371 00:17:31,646 --> 00:17:35,270 A few months ago? My God, this is worse than I thought! 372 00:17:35,295 --> 00:17:37,729 You've been cheating on me with your house. 373 00:17:37,816 --> 00:17:39,508 It's platonic, I swear. 374 00:17:40,266 --> 00:17:41,874 Look, it's not like I was coming here when 375 00:17:41,898 --> 00:17:43,194 you were in the hospital with the girls. 376 00:17:43,219 --> 00:17:45,663 Oh, how thoughtful of you. 377 00:17:45,688 --> 00:17:50,108 We can't fit any of this stuff at our place, and music is how I relax. 378 00:17:50,377 --> 00:17:52,482 Cry in the shower like a normal person. 379 00:17:52,893 --> 00:17:56,636 You know what? I'll go shopping and you can stay here and jam. 380 00:17:56,661 --> 00:17:59,614 Fine. I've got a new reverb pedal I can try out. 381 00:17:59,639 --> 00:18:00,709 Great. 382 00:18:03,565 --> 00:18:04,911 I'll call the plumber. 383 00:18:04,936 --> 00:18:08,190 - No, I can fix it myself. - No, you've lost that privilege. 384 00:18:16,016 --> 00:18:17,795 I thought I saw signs of life in here. 385 00:18:17,820 --> 00:18:19,694 Well, I'm not back to work until next week. 386 00:18:19,719 --> 00:18:20,996 I'm just grabbing a few things. 387 00:18:21,021 --> 00:18:22,540 Aren't you supposed to be resting? 388 00:18:22,791 --> 00:18:26,252 I'll rest when I'm dead, which I'm not unless Catherine finds me. 389 00:18:26,277 --> 00:18:28,728 Well, I won't tell. 390 00:18:28,753 --> 00:18:31,749 Oh, um, tell Altman good luck for me. 391 00:18:32,465 --> 00:18:35,382 The ventral aorta? I assumed you knew they're doing it again. 392 00:18:37,944 --> 00:18:41,327 Richard, Teddy and I, we just signed divorce papers. 393 00:18:41,352 --> 00:18:43,354 I'm sorry to hear that. 394 00:18:43,379 --> 00:18:45,444 Honestly, I'm not sure how we ended up here. 395 00:18:45,469 --> 00:18:47,298 Well, sometimes things just don't work out. 396 00:18:47,323 --> 00:18:49,137 More often than not in my case. 397 00:18:49,162 --> 00:18:50,646 Oh, you'll get back on your feet. 398 00:18:50,784 --> 00:18:53,004 I'd stay for the surgery, but Catherine's at the dentist. 399 00:18:53,028 --> 00:18:56,135 If I'm not back before she is, there'll be hell to pay. 400 00:18:56,273 --> 00:18:57,521 You should go. 401 00:18:57,546 --> 00:19:00,083 Yeah, I'll see if I have time. It was good to see you, Richard. 402 00:19:02,592 --> 00:19:03,593 Oh. 403 00:19:04,522 --> 00:19:05,834 Someone order a general surgeon? 404 00:19:05,859 --> 00:19:08,122 - Oh, Dr. Bailey, thanks for joining. - Mm-hmm. Mm-hmm. 405 00:19:08,147 --> 00:19:09,788 Dr. Warren, good to see you again. 406 00:19:09,813 --> 00:19:12,471 At your service, or rather on your service. 407 00:19:12,496 --> 00:19:14,369 - Her service actually. - Okay. 408 00:19:14,394 --> 00:19:15,533 So, I took a look 409 00:19:15,558 --> 00:19:16,997 - at your patient's scans... - Uh-huh. 410 00:19:17,022 --> 00:19:21,263 and, you know, it should be relatively straightforward as long as 411 00:19:21,288 --> 00:19:25,741 the right gastroepiploic vessel is enough to supply the omentum. 412 00:19:25,766 --> 00:19:27,071 Looks sufficient to me. 413 00:19:27,096 --> 00:19:28,546 - We'll see you in the OR? - Mm-hmm. 414 00:19:28,571 --> 00:19:30,341 We're gonna harvest that omentum like you've never seen. 415 00:19:30,644 --> 00:19:31,714 Okay. 416 00:19:33,218 --> 00:19:34,702 I panicked. 417 00:19:34,727 --> 00:19:37,958 Oh, this is gonna be harder than I thought. 418 00:19:42,239 --> 00:19:43,985 Oh, Kwan was right. 419 00:19:44,010 --> 00:19:46,299 You are in the supply closet. Why are you in the supply closet? 420 00:19:46,323 --> 00:19:47,643 We're doing another ventral aorta. 421 00:19:47,668 --> 00:19:49,370 I heard. Big day. 422 00:19:49,395 --> 00:19:50,717 Can you watch the kids for me tonight? 423 00:19:50,741 --> 00:19:53,960 Of course. I just wanted to say good luck. 424 00:19:53,985 --> 00:19:56,781 What if we can't do it again? What if Nora was just an anomaly? 425 00:19:56,806 --> 00:19:58,364 There was a lot of skill involved. 426 00:19:58,389 --> 00:20:00,075 If this doesn't work out, then Corban 427 00:20:00,100 --> 00:20:02,003 never meets his nephew, and I'm a fraud. 428 00:20:02,028 --> 00:20:04,705 When you're backed into a corner, that is when you rise. 429 00:20:04,730 --> 00:20:06,283 I've seen it in war zones. 430 00:20:06,308 --> 00:20:08,172 I've seen it in the OR. I see it with our kids. 431 00:20:08,197 --> 00:20:10,045 Don't put more pressure on me right now. 432 00:20:10,070 --> 00:20:12,351 I am just saying you can do this. You're just in your head. 433 00:20:12,376 --> 00:20:14,696 - You need to take a breath... - Don't tell me what I need. 434 00:20:14,721 --> 00:20:15,861 That's not your job anymore. 435 00:20:15,886 --> 00:20:17,927 And frankly, it was infuriating when it was. 436 00:20:20,286 --> 00:20:21,701 Okay. Well, I'll, um... 437 00:20:22,396 --> 00:20:23,596 I'll get the kids from school. 438 00:20:24,094 --> 00:20:26,234 And, uh, good luck. 439 00:20:35,598 --> 00:20:39,568 That was excellent technique with the dermatome, Dr. Mohanty. 440 00:20:40,213 --> 00:20:41,973 Wanna do the honors with the mesher? 441 00:20:42,126 --> 00:20:43,921 Absolutely. Thank you. 442 00:20:50,110 --> 00:20:51,811 Mm-hmm. 443 00:20:51,836 --> 00:20:53,760 Um, pull the omentum through for me. 444 00:20:54,391 --> 00:20:57,463 Okay, no twisting on its pedicle, 445 00:20:57,488 --> 00:21:01,984 and the main vascular arcade remains intact. 446 00:21:02,009 --> 00:21:04,307 - Well done, Dr. Warren. - Thank you. 447 00:21:04,332 --> 00:21:06,481 You're one of our best and brightest. 448 00:21:06,506 --> 00:21:08,314 I'd hate to lose you to Plastics, 449 00:21:08,338 --> 00:21:10,545 but I know that's where your heart is, 450 00:21:10,683 --> 00:21:12,567 especially with your interest in burn 451 00:21:12,591 --> 00:21:15,016 patients and experience as a firefighter. 452 00:21:15,041 --> 00:21:17,561 Firefighter and an anesthesiologist, 453 00:21:17,586 --> 00:21:18,829 how many lives have you had? 454 00:21:18,854 --> 00:21:20,564 I'd like to think they all led me here. 455 00:21:20,589 --> 00:21:23,074 Well, that should do it for me. 456 00:21:23,099 --> 00:21:25,205 Thanks to Dr. Warren's dissection, your 457 00:21:25,230 --> 00:21:26,674 flap should cover everything you need. 458 00:21:26,784 --> 00:21:28,924 Hey, do you call him Dr. Warren at home too? 459 00:21:32,128 --> 00:21:34,905 Okay, that looks great. Now, we just need 460 00:21:34,929 --> 00:21:36,305 to finish the inset... 461 00:21:36,329 --> 00:21:38,651 - ... and get the graft on. - This is OR 2. 462 00:21:38,676 --> 00:21:42,197 Dr. Wright, they're asking for you on an urgent burn case in the pit. 463 00:21:44,024 --> 00:21:45,792 Warren, wanna join me? 464 00:21:46,817 --> 00:21:47,990 - I'd love to. - Great. 465 00:21:48,360 --> 00:21:50,878 Dr. Mohanty, you and Millin here good to finish up? 466 00:21:51,793 --> 00:21:52,897 Of course. 467 00:21:58,178 --> 00:22:00,255 Come on now, y'all can't keep him here. 468 00:22:00,279 --> 00:22:02,468 We gotta go pop some bottles, celebrate. 469 00:22:02,493 --> 00:22:03,780 On him for once. 470 00:22:03,805 --> 00:22:05,876 Yeah, no. Sorry, doctor's orders. 471 00:22:06,532 --> 00:22:08,059 All right, let's talk dollars and cents. 472 00:22:08,083 --> 00:22:09,452 Of course you're gonna hit me back 473 00:22:09,477 --> 00:22:11,166 for the car and the back rent, right? 474 00:22:11,191 --> 00:22:13,135 Millionaire. You're a millionaire, you're a millionaire... 475 00:22:13,159 --> 00:22:14,279 Okay, why don't we table this until 476 00:22:14,303 --> 00:22:15,689 after your brother's out of the hospital? 477 00:22:15,713 --> 00:22:18,104 - Yeah. - Doc, J Dog would be facedown 478 00:22:18,129 --> 00:22:19,407 in a ditch if it wasn't for me. 479 00:22:19,432 --> 00:22:21,107 You know, I've hated that nickname since I was eight. 480 00:22:21,132 --> 00:22:23,452 Well, I've hated picking up your tab for the last 12 months, 481 00:22:23,480 --> 00:22:24,983 but that's what brothers are for, right? 482 00:22:25,008 --> 00:22:26,803 Hey, if you don't wanna do it, I will. 483 00:22:26,937 --> 00:22:28,904 - We got a problem here? - Uh, that depends. 484 00:22:28,933 --> 00:22:31,453 - Are you going to keep being a total... - You should go. 485 00:22:32,394 --> 00:22:35,651 - Him or me? - Bryant, out. Now. 486 00:22:39,392 --> 00:22:42,386 - I'm sorry about that. - Yeah, that's... 487 00:22:44,328 --> 00:22:45,478 - What's happening? - All right. 488 00:22:45,502 --> 00:22:47,651 - He's seizing. - Adams, help roll him. 489 00:22:47,676 --> 00:22:49,989 We need some diazepam and alert CT. 490 00:22:53,889 --> 00:22:56,936 Oh. Hey, what you heard this morning isn't true. 491 00:22:56,961 --> 00:22:59,447 - Okay. - I'm not actively trying to have a baby. 492 00:22:59,472 --> 00:23:02,701 I'm just freezing my eggs in case I want one someday. 493 00:23:02,726 --> 00:23:04,246 - Got it. - Which I might not want one. 494 00:23:04,383 --> 00:23:06,395 - Just an insurance policy. - Congrats. Also, none of my business. 495 00:23:06,419 --> 00:23:08,323 Oh, I just didn't want you to think I was 496 00:23:08,347 --> 00:23:10,250 withholding some critical information... 497 00:23:10,275 --> 00:23:11,759 - I don't. Yeah. Yeah. - Great. 498 00:23:11,784 --> 00:23:13,555 Because what we're doing right now doesn't have to stop. 499 00:23:13,580 --> 00:23:15,783 I mean, there might be a few days here and there where we shouldn't... 500 00:23:15,808 --> 00:23:17,751 - Mm-hmm. Yeah. - You know, but, overall, we can keep 501 00:23:17,775 --> 00:23:19,719 - doing the thing that... - Understood, but, uh, right now, 502 00:23:19,743 --> 00:23:21,131 I'm trying to do my job, and I'm 503 00:23:21,155 --> 00:23:22,849 mostly failing, so I really can't talk. 504 00:23:22,874 --> 00:23:24,566 Oh, how-how about a drink at Joe's later? 505 00:23:24,591 --> 00:23:27,164 - If they ever let me leave, sure. - Okay. 506 00:23:27,415 --> 00:23:29,866 Yeah. Okay, so... 507 00:23:29,891 --> 00:23:31,949 Oh, sorry. Yeah. 508 00:23:33,688 --> 00:23:34,689 Okay. 509 00:23:40,649 --> 00:23:43,639 - I can, uh, cut the sutures for you. - I've got it. 510 00:23:44,060 --> 00:23:46,140 - I really don't mind. - I said no. 511 00:23:48,537 --> 00:23:50,365 Should I call for another resident since 512 00:23:50,389 --> 00:23:51,947 you clearly don't want me to help you? 513 00:23:51,972 --> 00:23:53,798 Not if your idea of helping is making me 514 00:23:53,823 --> 00:23:55,720 look ridiculous in front of our attending. 515 00:23:55,745 --> 00:23:57,506 You told me to be on my A game. 516 00:23:57,531 --> 00:23:59,636 So that I can impress Dr. Wright. 517 00:23:59,930 --> 00:24:04,107 I applied for an attending position at the Fox Flagship in Boston. 518 00:24:04,132 --> 00:24:07,998 It's perfect. Great benefits, grant money, close to my family. 519 00:24:08,023 --> 00:24:10,063 And I needed her recommendation, which 520 00:24:10,088 --> 00:24:11,804 I was supposed to lock down today. 521 00:24:11,829 --> 00:24:15,108 If you wanted me to make you look good, you should have said so. 522 00:24:15,799 --> 00:24:17,456 - Right. - I'm serious. 523 00:24:19,665 --> 00:24:21,563 I'll keep that in mind for next time. 524 00:24:26,775 --> 00:24:28,378 Can I get in on those lower inset sutures? 525 00:24:28,403 --> 00:24:30,714 Nope. Too close to the pedicle. 526 00:24:31,243 --> 00:24:34,307 I know that we have disagreed on Corban's care, 527 00:24:34,956 --> 00:24:37,959 but I need to know that you are fully on board 528 00:24:37,984 --> 00:24:40,108 with the surgery and with me. 529 00:24:40,219 --> 00:24:42,179 I was on board with the surgery yesterday. 530 00:24:42,204 --> 00:24:43,667 - Still am. - And me? 531 00:24:43,692 --> 00:24:46,332 - I'm a professional. - That's not what I'm asking. 532 00:24:46,899 --> 00:24:49,695 It's not just that you made the wrong call. 533 00:24:49,720 --> 00:24:51,292 You flat out dismissed my opinion. 534 00:24:51,317 --> 00:24:53,146 I didn't. I considered it fully. 535 00:24:53,171 --> 00:24:55,123 Did you? 'Cause if you'd set your ego aside, 536 00:24:55,148 --> 00:24:56,531 we may not be in this mess. 537 00:24:56,556 --> 00:24:58,819 Or Corban would already be dead, 538 00:24:58,844 --> 00:25:00,429 and then that would be on both of us. 539 00:25:00,454 --> 00:25:03,595 If something goes wrong in there, I need to know you hear me. 540 00:25:05,025 --> 00:25:06,061 I will. 541 00:25:06,795 --> 00:25:07,830 You have my word. 542 00:25:09,701 --> 00:25:12,980 - Then I have your back. - Let's go build an aorta. 543 00:25:20,685 --> 00:25:22,104 Where is this guy? 544 00:25:24,557 --> 00:25:26,397 - Hmm. - What are you doing? 545 00:25:26,421 --> 00:25:29,503 I just thought I'd see what all the fuss is about. 546 00:25:29,528 --> 00:25:30,839 Yeah, that's my Martin. 547 00:25:32,289 --> 00:25:34,015 - Mm-hmm. - So, be careful. 548 00:25:34,040 --> 00:25:37,557 This song is called... "This Is What Betrayal Feels Like." 549 00:25:41,291 --> 00:25:43,931 Okay, I get your point. Can we put it back now? 550 00:25:43,956 --> 00:25:47,269 Not... until you apologize. 551 00:25:50,731 --> 00:25:52,733 You know what? No. 552 00:25:52,758 --> 00:25:54,598 What is wrong with me grabbing a few minutes 553 00:25:54,623 --> 00:25:57,626 of alone time, so I can be better for you and the kids? 554 00:25:57,807 --> 00:26:00,568 I had a heart pump keeping me alive 555 00:26:00,593 --> 00:26:03,813 after delivering two other bodies out of my body. 556 00:26:03,838 --> 00:26:05,482 I can't breastfeed, which I know is 557 00:26:05,506 --> 00:26:07,393 okay, but I still feel horrible about, 558 00:26:07,418 --> 00:26:09,259 and hormones have turned me into someone 559 00:26:09,284 --> 00:26:10,879 that I would avoid on the OB floor. 560 00:26:10,904 --> 00:26:12,682 I am not okay! 561 00:26:13,226 --> 00:26:14,745 I am not me. 562 00:26:14,770 --> 00:26:17,930 I am a hideous shell of my former self, 563 00:26:17,955 --> 00:26:19,479 - and you don't see it... - No. 564 00:26:19,504 --> 00:26:22,145 because you're off in the man cave, 565 00:26:22,170 --> 00:26:24,730 which is actually an entire crappy house. 566 00:26:27,295 --> 00:26:28,572 Plumber's here. 567 00:26:36,535 --> 00:26:38,399 Here's a list of discharge summaries. 568 00:26:38,424 --> 00:26:39,864 Stay away from Jeremy and don't leave 569 00:26:39,889 --> 00:26:41,540 - until you get them done. - You punishing me? 570 00:26:41,565 --> 00:26:43,267 - You were out of line. - That dude was walking all over 571 00:26:43,291 --> 00:26:44,751 - our patient, man. - It doesn't matter. 572 00:26:44,775 --> 00:26:46,477 It's not our job to get involved, and if you do it again, 573 00:26:46,501 --> 00:26:47,456 I'll have to tell Bailey. 574 00:26:47,480 --> 00:26:49,169 Got it. So don't treat the whole person, 575 00:26:49,193 --> 00:26:50,722 just be a robot checking boxes. 576 00:26:50,747 --> 00:26:52,885 - Yeah. That's not what I said. - I'd love to stay and chat, but I've 577 00:26:52,910 --> 00:26:54,409 got a whole bunch of discharge summaries 578 00:26:54,434 --> 00:26:56,455 I need to go through. Thanks for the lesson, boss. 579 00:27:01,827 --> 00:27:05,140 Thank you. I thought that Brent took it. 580 00:27:05,392 --> 00:27:07,714 You have a condition called SIADH. 581 00:27:07,739 --> 00:27:09,741 It can happen after a head trauma. 582 00:27:09,766 --> 00:27:11,156 Usually resolves on its own. 583 00:27:11,181 --> 00:27:12,621 Low sodium levels caused the seizure. 584 00:27:12,646 --> 00:27:14,780 You'll need IV fluids and medication to correct it. 585 00:27:14,805 --> 00:27:16,289 Okay, thank you. 586 00:27:16,540 --> 00:27:18,508 Boom. 587 00:27:18,533 --> 00:27:20,338 Don't ever say I never did anything for you. 588 00:27:20,362 --> 00:27:22,330 And I, um, also called Mom. 589 00:27:23,585 --> 00:27:25,929 - Man get... Stop! - You should let Jeremy rest. 590 00:27:25,954 --> 00:27:29,475 No, I've been wanting to say this to him for a long time. 591 00:27:30,416 --> 00:27:32,384 I hate you. I mean, I love you. 592 00:27:32,409 --> 00:27:34,318 You're my brother, and I wouldn't have been able to get through 593 00:27:34,342 --> 00:27:36,655 this last year without you, but when you're mean about it, 594 00:27:36,680 --> 00:27:37,976 it makes me hate you. 595 00:27:38,001 --> 00:27:40,003 - We were just having fun. - It's not fun. 596 00:27:40,028 --> 00:27:42,401 - Not for me. - Maybe we just take a breather. 597 00:27:43,015 --> 00:27:45,397 I... I just always thought it rolled off your back. 598 00:27:46,759 --> 00:27:50,057 - I'll lay off. - Really? That's it? 599 00:27:50,082 --> 00:27:52,205 Yeah, I'm not a monster. 600 00:27:53,948 --> 00:27:57,280 I guess I should have said something years ago. 601 00:27:58,331 --> 00:27:59,747 I'm gonna put in your orders. 602 00:28:01,058 --> 00:28:03,039 You still gonna pay me back for the rent though? 603 00:28:05,866 --> 00:28:08,351 This scar tissue is cemented in. 604 00:28:08,376 --> 00:28:10,654 - Worse than Nora's? - By a mile. 605 00:28:10,679 --> 00:28:12,381 You know what else is different this time? 606 00:28:12,406 --> 00:28:15,657 - Blood flow? - All those people watching up there. 607 00:28:17,300 --> 00:28:18,923 Stay focused. 608 00:28:18,948 --> 00:28:21,588 I don't know if we're gonna be able to get through all this. 609 00:28:23,808 --> 00:28:24,913 Altman. 610 00:28:27,695 --> 00:28:29,662 If we give up now, he'll die. 611 00:28:33,056 --> 00:28:35,689 - All right, um, 15 blade. - What are you... 612 00:28:35,714 --> 00:28:37,160 Using these scissors is like blunt dissection. 613 00:28:37,185 --> 00:28:38,209 It isn't working. 614 00:28:38,233 --> 00:28:40,107 I'm gonna try working layer by layer, 615 00:28:40,132 --> 00:28:43,333 see if I can find the correct surgical plane to orient myself. 616 00:28:46,104 --> 00:28:49,073 Okay. I'm with you. Thank you, BokHee. 617 00:28:58,737 --> 00:29:01,335 Guess who aced his burn consult? 618 00:29:01,360 --> 00:29:02,879 Okay, tell me everything. 619 00:29:03,260 --> 00:29:06,133 Well, thanks to my days as a firefighter... 620 00:29:06,158 --> 00:29:08,274 - Okay. - ... I knew to mix and put a laxative 621 00:29:08,298 --> 00:29:09,334 on the burn. 622 00:29:09,359 --> 00:29:11,389 Yeah, the polyethylene glycol binds to the phenol 623 00:29:11,414 --> 00:29:14,037 to stop the chemical burn from getting worse. 624 00:29:14,062 --> 00:29:17,134 - Impressive. - And that is what Dr. Wright said. 625 00:29:17,159 --> 00:29:18,603 Aw. 626 00:29:18,628 --> 00:29:21,217 - Thank you for talking me up. - Someone had to. 627 00:29:21,242 --> 00:29:22,864 You weren't doing yourself any favors. 628 00:29:25,163 --> 00:29:27,948 - Okay, what can I do to help you? - Oh. 629 00:29:27,973 --> 00:29:31,148 Yeah. Call more hospitals about Katie's immunotherapy? 630 00:29:31,173 --> 00:29:34,402 Handle bedtime so, you know, you can look into more options? 631 00:29:34,427 --> 00:29:35,915 Yeah, I don't need any of those things, 632 00:29:35,939 --> 00:29:37,474 but, no, I appreciate the sentiment. 633 00:29:37,499 --> 00:29:39,260 Hold on. 634 00:29:47,989 --> 00:29:49,197 How's my favorite patient? 635 00:29:49,995 --> 00:29:51,765 Well, nurse gave him 636 00:29:51,790 --> 00:29:53,826 - some pretty strong pain meds. - Uh-huh. 637 00:29:53,851 --> 00:29:55,734 So, he's a little loopy. 638 00:29:55,759 --> 00:29:57,632 Love of my life over there. 639 00:29:57,657 --> 00:30:00,626 I love her more than I love elephants. 640 00:30:01,878 --> 00:30:03,121 Is something wrong? 641 00:30:03,146 --> 00:30:05,295 Uh, the flap is dark and swollen. 642 00:30:05,320 --> 00:30:06,632 I'm going to take a listen. 643 00:30:11,050 --> 00:30:12,874 - Damn it. - What's happened? 644 00:30:12,899 --> 00:30:14,625 - Everything okay? - There's no signal. 645 00:30:19,843 --> 00:30:22,002 I'll call the OR and page Dr. Wright. Get him ready. 646 00:30:22,027 --> 00:30:23,658 He needs to go to surgery again? 647 00:30:23,683 --> 00:30:25,054 Well, there's no blood flow to his flap 648 00:30:25,079 --> 00:30:28,205 so we need to get him to the OR to see what's happening ASAP. 649 00:30:28,230 --> 00:30:31,208 Don't go visit the zebras without me. 650 00:30:31,233 --> 00:30:32,234 Excuse me. 651 00:30:35,985 --> 00:30:37,331 All right, graft is completed. 652 00:30:37,638 --> 00:30:38,882 It's time. 653 00:30:39,106 --> 00:30:41,246 All right, let's rapid pace the heart. 654 00:30:43,690 --> 00:30:44,930 All right, clamp's off. 655 00:30:45,326 --> 00:30:47,087 GIA stapler. 656 00:30:48,823 --> 00:30:49,823 All right. 657 00:30:49,848 --> 00:30:51,640 Ready to staple off the aorta? 658 00:30:56,702 --> 00:30:59,809 Staple line is well approximated, looks intact. 659 00:31:02,702 --> 00:31:04,048 We did it. 660 00:31:08,870 --> 00:31:10,670 All right, let's take him off bypass. 661 00:31:11,724 --> 00:31:12,794 Clamps. 662 00:31:22,614 --> 00:31:24,167 It's amazing. 663 00:31:24,305 --> 00:31:26,514 All right, I am gonna go update Leticia. 664 00:31:26,539 --> 00:31:28,659 - You good? All right. - Yep, ready to close. 665 00:31:30,647 --> 00:31:33,029 - Whoa, whoa, whoa. Ndugu! - Oh, my God! 666 00:31:33,054 --> 00:31:35,385 Damn it! All right, get me a gown and gloves. 667 00:31:35,410 --> 00:31:37,216 All right, I've got pressure on the defect. 668 00:31:37,240 --> 00:31:39,276 Griffith, get in here and suction around my hand. 669 00:31:43,139 --> 00:31:44,450 Come on. 670 00:31:45,755 --> 00:31:47,318 All right, there. 671 00:31:47,343 --> 00:31:50,435 A small defect on the leading edge of the staple line. 672 00:31:50,460 --> 00:31:52,260 We didn't fire the staples all the way across. 673 00:31:52,285 --> 00:31:54,410 Okay, put him back on bypass. 674 00:31:54,458 --> 00:31:56,559 - Clamp on. - All right, I'm here. 675 00:31:56,584 --> 00:31:58,251 - Okay, put your hand in here. - Yeah. 676 00:31:58,276 --> 00:32:00,623 Suction. Hang on, Corban. 677 00:32:00,739 --> 00:32:02,430 Hang on. 678 00:32:07,916 --> 00:32:10,022 Katie Rogers, 27, stage-four gastric cancer. 679 00:32:10,047 --> 00:32:11,421 I already know that part. 680 00:32:11,446 --> 00:32:13,379 Short of breath. Satting 89%. 681 00:32:13,404 --> 00:32:15,918 - Abdomen's distended. - Dr. Bailey. 682 00:32:15,943 --> 00:32:18,245 - I can't breathe. - No, no. It's okay. 683 00:32:18,270 --> 00:32:19,478 We've got you. 684 00:32:19,793 --> 00:32:22,417 Well, don't just stand there. Let's move. 685 00:32:40,529 --> 00:32:42,174 There's a stitch tied down over 686 00:32:42,199 --> 00:32:44,225 the pedicle cutting off its blood supply. 687 00:32:46,362 --> 00:32:47,467 Nothing? 688 00:32:47,492 --> 00:32:49,183 This is a serious mistake. 689 00:32:49,208 --> 00:32:53,553 Warren and I left you to complete the inset and place the skin graft. 690 00:32:53,578 --> 00:32:57,014 I expected it to be done not only successfully, but perfectly. 691 00:33:01,807 --> 00:33:03,716 The flap looked viable when we left the OR. 692 00:33:03,740 --> 00:33:06,029 We didn't see anything restrictive over the pedicle. 693 00:33:06,053 --> 00:33:08,020 Save it. I don't have time for excuses. 694 00:33:09,795 --> 00:33:12,655 Our patient now has no tissue coverage over his wound 695 00:33:12,680 --> 00:33:16,063 and will most likely need many surgeries he might not survive. 696 00:33:19,735 --> 00:33:20,882 Just go. 697 00:33:21,608 --> 00:33:24,404 I'll clean up the wound and get the wound vac back on myself. 698 00:33:33,770 --> 00:33:35,772 Almost finished closing this gap. 699 00:33:35,797 --> 00:33:38,075 All right, last stitch. 700 00:33:43,813 --> 00:33:45,332 And right there. 701 00:33:46,792 --> 00:33:48,173 - Done. - Are we sure 702 00:33:48,198 --> 00:33:49,583 the closure is going to be adequate? 703 00:33:49,608 --> 00:33:51,833 - Will the suture hold? - After watching 704 00:33:51,857 --> 00:33:54,042 so much of Corban's blood volume spray all over this OR, 705 00:33:54,066 --> 00:33:56,620 I am not sure of anything. 706 00:33:57,242 --> 00:34:01,364 But I watched Ndugu tie these sutures, and they look great. 707 00:34:03,041 --> 00:34:06,122 So, let's take him off bypass. 708 00:34:09,036 --> 00:34:10,865 All right. Clamp's off. 709 00:34:19,054 --> 00:34:20,055 We have a rhythm. 710 00:34:20,776 --> 00:34:21,984 The pressures are coming up. 711 00:34:24,831 --> 00:34:25,831 All right. 712 00:34:26,090 --> 00:34:27,471 Altman, we did it. 713 00:34:30,184 --> 00:34:31,185 Altman. 714 00:34:33,243 --> 00:34:34,243 We did it. 715 00:34:36,867 --> 00:34:37,981 Well done, everyone. 716 00:34:39,880 --> 00:34:41,537 All right. Let's prep to close. 717 00:34:46,463 --> 00:34:49,915 $400 and he has to come back tomorrow with a part. 718 00:34:50,361 --> 00:34:52,375 Should've fixed it yourself. 719 00:34:57,164 --> 00:34:59,762 You know, I'm sorry for hiding all this from you. 720 00:34:59,787 --> 00:35:02,661 I guess I was afraid that you'd be madder if you knew. 721 00:35:06,000 --> 00:35:11,592 Honestly, I'm more... jealous than mad. 722 00:35:13,007 --> 00:35:14,629 See, you need a place like this too. 723 00:35:14,767 --> 00:35:17,111 You need someplace you can go for peace and quiet. 724 00:35:17,381 --> 00:35:19,587 A... woman cave. 725 00:35:20,048 --> 00:35:23,880 - I feel guilty even thinking about it. - Why? 726 00:35:24,072 --> 00:35:25,660 The patriarchy. 727 00:35:27,146 --> 00:35:29,251 Mm-hmm. 728 00:35:29,506 --> 00:35:30,794 You know, if we're gonna get through this, 729 00:35:30,818 --> 00:35:32,854 we have both got to take care of ourselves. 730 00:35:33,105 --> 00:35:36,074 - What would I even do in my... - She shed? 731 00:35:38,471 --> 00:35:40,147 - Dame den? - Mm-mmm. 732 00:35:40,172 --> 00:35:42,105 Okay, I'll stop. 733 00:35:44,480 --> 00:35:45,838 Lady lair. 734 00:35:50,803 --> 00:35:53,056 You could take guitar lessons. 735 00:35:53,081 --> 00:35:56,430 Yeah, but I'm already a musical genius. 736 00:36:09,299 --> 00:36:11,005 Honey, you look like you've seen a ghost. 737 00:36:11,241 --> 00:36:12,415 Yeah. 738 00:36:12,817 --> 00:36:15,522 The ghost of an omental flap that... died 739 00:36:15,547 --> 00:36:18,072 at the hands of negligent residents. 740 00:36:18,935 --> 00:36:19,975 You've got a lot going on. 741 00:36:20,000 --> 00:36:21,533 We can chat tomorrow. 742 00:36:21,558 --> 00:36:24,112 - I... - No, no. It's fine. Everything's fine. 743 00:36:24,180 --> 00:36:26,398 It's all... It's all fine. 744 00:36:27,657 --> 00:36:28,727 What's up? 745 00:36:30,395 --> 00:36:31,499 Um... 746 00:36:32,679 --> 00:36:34,656 I have a son, Scout. 747 00:36:34,681 --> 00:36:36,928 He's five. He's adorable. 748 00:36:36,953 --> 00:36:40,922 He splits his time between his dad and me, and I have him tonight. 749 00:36:41,060 --> 00:36:44,078 And that is why I couldn't hang. 750 00:36:44,335 --> 00:36:46,337 You were nervous to tell me about a cute kid? 751 00:36:46,514 --> 00:36:49,177 It was kind of a deal-breaker in my last 752 00:36:49,201 --> 00:36:51,864 relationship and that kind of broke me. 753 00:36:51,889 --> 00:36:54,152 And if it is a deal-breaker for you too, 754 00:36:54,177 --> 00:36:55,656 I totally get it... But I would 755 00:36:55,681 --> 00:36:57,767 rather know before starting something. 756 00:36:58,477 --> 00:36:59,926 That would make me a hypocrite. 757 00:37:02,059 --> 00:37:03,267 So... 758 00:37:05,364 --> 00:37:07,228 - This is Zachary. He's seven. - Oh, my... 759 00:37:07,328 --> 00:37:09,940 Obsessed with trash compactors and, 760 00:37:09,964 --> 00:37:12,875 uh, synthesizers from '80s pop songs. 761 00:37:13,579 --> 00:37:15,374 - Are you... - Single mom? Mm-hmm. 762 00:37:15,543 --> 00:37:17,002 Uh, my sister lives with me. 763 00:37:17,144 --> 00:37:20,493 She watches him when I reconnect with an old crush. 764 00:37:21,165 --> 00:37:23,236 Which happens all the time? 765 00:37:24,560 --> 00:37:25,560 Not really. 766 00:37:29,368 --> 00:37:30,369 Rain check? 767 00:37:34,322 --> 00:37:35,323 Rain check. 768 00:37:46,693 --> 00:37:50,148 His pressures are holding without much inotropic support. 769 00:37:50,429 --> 00:37:51,740 - That's great news. - Yeah. 770 00:37:53,271 --> 00:37:55,123 Do you think that we will ever do this 771 00:37:55,147 --> 00:37:56,998 surgery without major complications? 772 00:37:58,127 --> 00:38:00,539 Third time's a charm. 773 00:38:01,977 --> 00:38:03,047 Somehow, I doubt it. 774 00:38:06,566 --> 00:38:08,133 We're a team on this. 775 00:38:08,158 --> 00:38:10,088 If we stay one, we could save way more 776 00:38:10,113 --> 00:38:11,750 patients than just Nora and Corban. 777 00:38:14,637 --> 00:38:16,649 - You've been here for two days. - Yeah. 778 00:38:16,673 --> 00:38:19,368 You should go home, and I'll keep an eye on him. 779 00:38:19,393 --> 00:38:20,429 Thanks. 780 00:38:29,721 --> 00:38:32,098 Poor thing. Must've had liters of fluid 781 00:38:32,123 --> 00:38:34,423 in her abdomen pushing up on her lungs. 782 00:38:34,484 --> 00:38:36,219 Okay, so we'll need to do a paracentesis 783 00:38:36,244 --> 00:38:37,832 if you can get me set up for that. 784 00:38:38,256 --> 00:38:40,500 Adams. Adams. 785 00:38:40,583 --> 00:38:42,812 She called and texted. 786 00:38:42,837 --> 00:38:45,737 And I didn't respond because I was too busy following your rules. 787 00:38:45,762 --> 00:38:48,005 This would have happened regardless. 788 00:38:48,030 --> 00:38:49,509 No, she trusted me. 789 00:38:49,534 --> 00:38:52,340 And she was scared and alone and... 790 00:38:53,585 --> 00:38:55,069 I wasn't there. 791 00:38:57,749 --> 00:39:00,788 I think you need to take a break from this case. 792 00:39:00,812 --> 00:39:03,578 No, no, no. I... I will do whatever you need. 793 00:39:03,602 --> 00:39:05,293 - I just need... - No, no. It's not a punishment. 794 00:39:05,318 --> 00:39:09,009 I just... I... I think you need to step back. 795 00:39:26,295 --> 00:39:28,228 Breaking new ground is never easy. 796 00:39:32,064 --> 00:39:33,583 - Yo. - Hey. 797 00:39:33,775 --> 00:39:37,142 I just did the ventral aorta with Altman and Ndugu. 798 00:39:37,167 --> 00:39:38,903 It was freaking epic. 799 00:39:38,928 --> 00:39:41,550 - It was historic. - That's cool. I'm proud of you. 800 00:39:41,575 --> 00:39:43,770 Something happen today or... 801 00:39:44,416 --> 00:39:46,843 - My patient won the lottery. - By having you as their doctor? 802 00:39:46,867 --> 00:39:49,292 No, no. He literally won the lottery, two million dollars. 803 00:39:49,317 --> 00:39:50,905 Mmm. Did not see that coming. 804 00:39:54,357 --> 00:39:56,012 I'm going out of town for a minute. 805 00:39:56,798 --> 00:39:59,594 - Is everything okay? - My brother's epilepsy's gotten worse. 806 00:40:00,881 --> 00:40:01,951 And he's in a coma. 807 00:40:03,201 --> 00:40:04,237 I'm sorry. 808 00:40:04,974 --> 00:40:06,665 You want to talk about it? 809 00:40:06,705 --> 00:40:08,561 No, no, no, I just didn't want you 810 00:40:08,586 --> 00:40:10,477 wondering where your lap dances went. 811 00:40:10,615 --> 00:40:12,937 Well, I mean, you sure? I've been told 812 00:40:12,962 --> 00:40:14,491 - I'm a pretty good listener. - I said I'm good. 813 00:40:14,515 --> 00:40:16,079 You have to pull the rug out from under people. 814 00:40:16,103 --> 00:40:17,104 Have a good night. 815 00:40:17,129 --> 00:40:18,855 Shatter their reality. 816 00:40:19,144 --> 00:40:21,560 Ask more questions than you answer. 817 00:40:21,585 --> 00:40:24,372 It takes what Dr. Harvey called a love of truth. 818 00:40:24,975 --> 00:40:27,081 And a whole lot of intestinal fortitude. 819 00:40:29,831 --> 00:40:32,903 Thank you for not saying anything. You didn't have to do that. 820 00:40:33,041 --> 00:40:36,887 Look, I could tell that the Boston job is really important to you. 821 00:40:37,580 --> 00:40:38,581 It is. 822 00:40:40,127 --> 00:40:42,163 There will probably be an M&M soon. 823 00:40:42,414 --> 00:40:45,738 I'll email you my op note and photos from the OR. 824 00:40:45,763 --> 00:40:47,627 They'll want to review post-op imaging too. 825 00:40:47,652 --> 00:40:48,860 Well, should I be worried? 826 00:40:52,484 --> 00:40:55,137 The M&M will suck, but we'll be fine. 827 00:40:55,635 --> 00:40:57,222 Get some sleep. 828 00:41:01,780 --> 00:41:03,437 But it also requires faith. 829 00:41:04,471 --> 00:41:06,784 That the world won't come crashing down around you. 830 00:41:07,031 --> 00:41:08,688 That you won't be burned at the stake. 831 00:41:10,562 --> 00:41:11,908 How'd it go? 832 00:41:11,933 --> 00:41:15,827 Oh, well, it wasn't smooth sailing but our patient's stable. 833 00:41:15,852 --> 00:41:16,853 That's great. 834 00:41:18,303 --> 00:41:22,410 So, uh, Allison wanted to fall asleep with the lamp on, 835 00:41:22,435 --> 00:41:25,051 so just make sure to turn it off before you go to bed. 836 00:41:26,000 --> 00:41:27,120 Thank you for pinch-hitting. 837 00:41:27,145 --> 00:41:29,009 I... I really appreciate it. 838 00:41:29,694 --> 00:41:31,972 Always happy to get more time with the kids. 839 00:41:32,581 --> 00:41:34,652 I'm sorry I bit your head off earlier. 840 00:41:34,751 --> 00:41:37,780 You did nothing wrong. I was just in a panic spiral, 841 00:41:37,805 --> 00:41:39,324 and I couldn't see it. 842 00:41:40,300 --> 00:41:41,582 Well, I stand by it. 843 00:41:41,607 --> 00:41:43,718 You are at your best when you're backed up against the wall. 844 00:41:43,742 --> 00:41:46,434 A little mean sometimes. 845 00:41:46,689 --> 00:41:47,690 But brilliant. 846 00:41:48,824 --> 00:41:51,696 You are never gonna stop believing in me, are you? 847 00:41:54,193 --> 00:41:55,193 Why would I? 848 00:42:02,399 --> 00:42:05,022 And that this new reality is going to be better. 849 00:42:13,176 --> 00:42:17,026 Or at least truer than the one that came before. 850 00:42:18,076 --> 00:42:23,076 - Synced and corrected by ChrisKe - — for www.addic7ed.com —